Pholedrine, also known as 4-hydroxy-''N''-methylamphetamine and sold under the brand names Paredrinol, Pulsotyl, and Veritol among others, is a
sympathomimetic drug
A drug is any chemical substance other than a nutrient or an essential dietary ingredient, which, when administered to a living organism, produces a biological effect. Consumption of drugs can be via insufflation (medicine), inhalation, drug i ...
used in
topical
A topical medication is a medication that is applied to a particular place on or in the body. Most often topical medication means application to body surfaces such as the skin or mucous membranes to treat ailments via a large range of classes ...
eye drop
Eye drops or eyedrops are liquid drops applied directly to the surface of the eye usually in small amounts such as a single drop or a few drops. Eye drops usually contain saline to match the salinity of the eye. Drops containing only saline ...
s to
dilate the pupil.
It can be used to diagnose
Horner's syndrome
Horner's syndrome, also known as oculosympathetic paresis, is a combination of symptoms that arises when a group of nerves known as the sympathetic trunk is damaged. The signs and symptoms occur on the same side (ipsilateral) as it is a lesion ...
.
In 2004, it remained marketed only in
Germany
Germany, officially the Federal Republic of Germany, is a country in Central Europe. It lies between the Baltic Sea and the North Sea to the north and the Alps to the south. Its sixteen States of Germany, constituent states have a total popu ...
.
Pharmacology
Pharmacodynamics
Pholedrine is described as a
sympathomimetic,
antihypotensive, and
ephedrine
Ephedrine is a central nervous system (CNS) stimulant and sympathomimetic agent that is often used to prevent hypotension, low blood pressure during anesthesia. It has also been used for asthma, narcolepsy, and obesity but is not the preferred ...
-like agent.
Chemistry
Pholedrine, also known as 4-hydroxy-''N''-methylamphetamine, is a
substituted phenethylamine
Substituted phenethylamines (or simply phenethylamines) are a chemical class of organic compounds that are based upon the phenethylamine structure; the class is composed of all the derivative (chemistry), derivative compounds of phenethylamine ...
and
amphetamine
Amphetamine (contracted from Alpha and beta carbon, alpha-methylphenethylamine, methylphenethylamine) is a central nervous system (CNS) stimulant that is used in the treatment of attention deficit hyperactivity disorder (ADHD), narcolepsy, an ...
derivative
In mathematics, the derivative is a fundamental tool that quantifies the sensitivity to change of a function's output with respect to its input. The derivative of a function of a single variable at a chosen input value, when it exists, is t ...
.
It is
structurally related to
methamphetamine
Methamphetamine (contracted from ) is a potent central nervous system (CNS) stimulant that is mainly used as a recreational drug use, recreational or Performance-enhancing substance, performance-enhancing drug and less commonly as a secon ...
(''N''-methylamphetamine),
norpholedrine (4-hydroxyamphetamine),
oxilofrine (4,β-dihydroxy-''N''-methylamphetamine), and
tyramine
Tyramine ( ) (also spelled tyramin), also known under several other names, is a naturally occurring trace amine derived from the amino acid tyrosine. Tyramine acts as a catecholamine releasing agent. Notably, it is unable to cross the bl ...
(4-hydroxyphenethylamine).
It is used
pharmaceutically as the
sulfate
The sulfate or sulphate ion is a polyatomic anion with the empirical formula . Salts, acid derivatives, and peroxides of sulfate are widely used in industry. Sulfates occur widely in everyday life. Sulfates are salts of sulfuric acid and many ...
salt
In common usage, salt is a mineral composed primarily of sodium chloride (NaCl). When used in food, especially in granulated form, it is more formally called table salt. In the form of a natural crystalline mineral, salt is also known as r ...
.
The predicted
log P of pholedrine ranges from 1.12 to 1.7.
History
Pholedrine was
synthesized by 1951.
Society and culture
Names
''Pholedrine'' is the
generic name of the drug and its , , and , while ''foledrina'' is its .
The drug has been sold under brand names including ''Pholedrin Liquidum'', ''Pholedrin-Longo-Isis'', ''Presoitan'', ''Veritain'', and ''Veritol'' among others.
Other drugs
Pholedrine (4-hydroxymethamphetamine) is also a major
metabolite
In biochemistry, a metabolite is an intermediate or end product of metabolism.
The term is usually used for small molecules. Metabolites have various functions, including fuel, structure, signaling, stimulatory and inhibitory effects on enzymes, c ...
of
methamphetamine
Methamphetamine (contracted from ) is a potent central nervous system (CNS) stimulant that is mainly used as a recreational drug use, recreational or Performance-enhancing substance, performance-enhancing drug and less commonly as a secon ...
.
References
{{Phenethylamines
Abandoned drugs
Antihypotensive agents
Human drug metabolites
Methamphetamines
Norepinephrine-dopamine releasing agents
Ophthalmology drugs
4-Hydroxyphenyl compounds
Recreational drug metabolites
Sympathomimetics